Organization
UPLIFTING THE COMMUNITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE B. LANE (OFFICE ADMIN)
(404) 564-4985
Entity
Organization
Contact information
Practice address
2001 MARTIN LUTHER KING JR DR SW, SUITE 308, ATLANTA, GA 30310-1101
(404) 564-4985
(404) 564-4986
Mailing address
2001 MARTIN LUTHER KING JR DR SW, SUITE 308, ATLANTA, GA 30310-1101
(404) 564-4985
(404) 564-4986
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
251S00000X
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
376158430A
—
GA
05
—
509861193A
—
GA
Enumeration date
07/06/2011
Last updated
10/07/2011
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